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Individual

DR. ELTONNELLE JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4 SMITH HAVEN MALL STE 107, LAKE GROVE, NY 11755-1219
(631) 444-8053
Mailing address
4 SMITH HAVEN MALL STE 107, LAKE GROVE, NY 11755-1219

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
026480
NY

Other

Enumeration date
10/21/2024
Last updated
10/21/2024
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